Dr Mohammad Ibrahim, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Wyoming, Michigan. His current practice location is
5900 Byron Center Ave Sw, Wyoming, Michigan. You can reach out to his office (for appointments etc.) via phone at
(616) 252-7389.
Dr Mohammad Ibrahim is licensed to practice in Michigan (license number 5101027367) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1962024968.
Physician's Profile
Full Name | Dr Mohammad Ibrahim |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 5900 Byron Center Ave Sw, Wyoming, Michigan |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1962024968
- Provider Enumeration Date: 05/12/2020
- Last Update Date: 06/06/2024
Medicare PECOS Information:
- PECOS PAC ID: 3476978313
- Enrollment ID: I20200810000547
Medical Identifiers
Medical identifiers for Dr Mohammad Ibrahim such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1962024968 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207QS0010X | Family Medicine - Sports Medicine | 5101027367 (Michigan) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | 5101027367 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Mohammad Ibrahim is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Mohammad Ibrahim, DO 5900 Byron Center Ave Sw, Wyoming, MI 49519-9606 Ph: () - | Dr Mohammad Ibrahim, DO 5900 Byron Center Ave Sw, Wyoming, MI 49519-9606 Ph: (616) 252-7389 |
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